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The pros and cons of the implementation of a chronic care model in European rural primary care: the points of view of European rural general practitioners

2021-08-30Journal article Open access
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dc.contributor.authorKurpas, Donata
dc.contributor.authorPetrazzuoli, Ferdinando
dc.contributor.authorSzwamel, Katarzyna
dc.contributor.authorRandall-Smith, Jane
dc.contributor.authorBlahova, Beata
dc.contributor.authorDumitra, Gindrovel
dc.contributor.authorJavorská, Kateřina
dc.contributor.authorMohos, András
dc.contributor.authorSimões, José Augusto Rodrigues
dc.contributor.authorTkachenko, Victoria
dc.contributor.authorKern, Jean-Baptiste
dc.contributor.authorHolland, Carol A
dc.contributor.authorGwyther, Holly
dc.date.accessioned2021-09-01T09:46:55Z
dc.date.available2021-09-01T09:46:55Z
dc.date.issued2021-08-30
dc.description.abstractIntroduction: This article describes the views of European rural general practitioners regarding the strengths, weaknesses, opportunities and threats (SWOT) of the implementation of a chronic care model (CCM) in European rural primary care. Methods: This was a mixed-methods online survey. Data were collected from 227 general practitioners between May and December 2017. Categorical data were analysed using descriptive methods while free-text responses were analysed using qualitative methods. The setting was rural primary care in nine European countries (including Central and Eastern Europe). Main outcomes measures were respondents’ evaluations of a chronic care model in their rural healthcare settings in terms of SWOT. Results: The SWOT analysis showed that the expertise of healthcare professionals and the strength of relationships and communications between professionals, caregivers and patients are positive components of the CCM system. However, ensuring adequate staffing levels and staff competency are issues that would need to be addressed. Opportunities included the need to enable patients to participate in decision making by ensuring adequate health literacy. Conclusion: The CCM could certainly have benefits for health care in rural settings but staffing levels and staff competency would need to be addressed before implementation of CCM in suchsettings. Improving health literacy among patients and their carers will be essential to ensure their full participation in the implementation of a successful CCM.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationKurpas D, Petrazzuoli F, Szwamel K, Randall-Smith J, Blahova B, Dumitra G, Javorská K, Mohos A, Simões JA, Tkachenko V, Kern J, Holland C, Gwyther H. The pros and cons of the implementation of a chronic care model in European rural primary care: the points of view of European rural general practitioners. Rural and Remote Health 2021; 21: 6509. https://doi.org/10.22605/RRH6509pt_PT
dc.identifier.doi10.22605/RRH6509pt_PT
dc.identifier.issn1445-6354
dc.identifier.urihttp://hdl.handle.net/10400.6/11205
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJames Cook Universitypt_PT
dc.relation.publisherversionhttps://www.rrh.org.au/journal/article/6509pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectChronic diseasept_PT
dc.subjectDisease managementpt_PT
dc.subjectEuropept_PT
dc.subjectHealth and wellbeingpt_PT
dc.subjectHealth services researchpt_PT
dc.subjectPrimary health care survey researchpt_PT
dc.subjectPublic policy issuespt_PT
dc.subjectRural health servicespt_PT
dc.titleThe pros and cons of the implementation of a chronic care model in European rural primary care: the points of view of European rural general practitionerspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue3pt_PT
oaire.citation.startPage6509pt_PT
oaire.citation.titleRural and Remote Healthpt_PT
oaire.citation.volume21pt_PT
person.familyNameKurpas
person.familyNamePetrazzuoli
person.familyNameSzwamel
person.familyNameRandall-Smith
person.familyNameBlahova
person.familyNameDumitra
person.familyNameJavorská
person.familyNameMohos
person.familyNameRodrigues Simões
person.familyNameTkachenko
person.familyNameKERN
person.familyNameHolland
person.familyNameGwyther
person.givenNameDonata
person.givenNameFerdinando
person.givenNameKatarzyna
person.givenNameJane
person.givenNameBeata
person.givenNameGindrovel
person.givenNameKateřina
person.givenNameAndrás
person.givenNameJosé Augusto
person.givenNameVictoria
person.givenNameJean-Baptiste
person.givenNameCarol
person.givenNameHolly
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rcaap.rightsopenAccesspt_PT
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